A client with chronic kidney disease is prescribed calcium acetate. The nurse should monitor for which potential side effect?

Correct Answer: A

Rationale: When a client with chronic kidney disease is prescribed calcium acetate, the nurse must monitor for hypercalcemia, not hypocalcemia, hyperkalemia, or hypokalemia. Calcium acetate can increase calcium levels in the blood, leading to hypercalcemia. Symptoms of hypercalcemia include fatigue, confusion, constipation, and muscle weakness. Regular monitoring of calcium levels is crucial to prevent complications associated with elevated calcium levels.

Correct Answer: A

Rationale: When a client is prescribed risperidone, it is essential to monitor for potential side effects. Weight gain is a common side effect of risperidone, so the nurse should closely monitor the client's weight throughout the treatment. This monitoring helps in early detection of weight changes and allows for timely interventions to prevent further complications.

Correct Answer: A

Rationale: When a client is prescribed linagliptin, it is crucial to educate them to report any signs of pancreatitis to their healthcare provider. Linagliptin can lead to pancreatitis, making it essential for clients to be vigilant for symptoms such as severe abdominal pain, nausea, and vomiting. Timely reporting of these symptoms can aid in early intervention and management of pancreatitis.

Correct Answer: B

Rationale: The correct answer is B) Renal failure. In patients with renal failure, antacids containing magnesium and calcium should be used with caution due to the risk of electrolyte imbalances. Both magnesium and calcium are excreted by the kidneys, and in renal failure, there is a decreased ability to excrete these minerals, leading to potential accumulation and toxicity. This can further worsen the renal function and lead to serious complications. Option A) Hypertension is not directly contraindicated with antacids containing magnesium and calcium. While monitoring blood pressure is important, hypertension alone does not specifically warrant caution with these antacids. Option C) Heart failure is also not directly related to the use of antacids containing magnesium and calcium. Heart failure management may involve careful monitoring of electrolytes, but it is not a direct contraindication for these antacids. Option D) Peptic ulcer disease would actually benefit from the use of antacids containing magnesium and calcium as they help neutralize gastric acid and provide relief from symptoms associated with peptic ulcers. Educationally, understanding the importance of considering renal function when administering medications is crucial for safe nursing practice. Renal function directly impacts drug excretion and metabolism, highlighting the need for individualized care and monitoring in patients with renal impairment.